Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brynna Scout Fullerton Vergara

Individual provider Clinical Pathology Physician · NPI 1003598608

Brynna Scout Fullerton Vergara is a Clinical Pathology Physician in Cottonwood, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

101 S Airpark Rd
Cottonwood, AZ 86326-4182
Phone: (928) 639-2694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 S Airpark Rd Ste M, Cottonwood, AZ 86326-4113 — (928) 639-2694

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X · Licence SLPA14693 (AZ)

Record details

NPI number1003598608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023